| NPI | 1467263004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GOLESH CEO 801-304-3489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-01-14 |